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Three internal fixation methods for humeral shaft fracture
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- Author:
- No author available
- Issue:
- 26
- DOI:
- 10.3969/j.issn.1673-8225.2012.26.037
- Key Word:
- 肱骨干骨折;交锁髓内钉;锁定钢板;膨胀髓内钉;内固定;植入体
Abstract： 背景:目前,对管状骨骨折的内固定多采用髓内钉固定和钢板固定两种方式.交锁髓内钉以其适应证广、创伤小、固定牢等优点已经成为治疗长骨干骨折的金标准.目的:比较微创锁定钢板、可膨胀髓内钉与交锁髓内针3种内固定方法治疗肱骨干骨折的效果.方法:66例肱骨干骨折患者根据内固定方式不同分为3组,分别采用微创钢板、可膨胀髓内钉及交锁髓内针内固定,3组均采用常规内固定入路,比较3组患者骨折愈合时间及并发症.结果与结论:3组骨折愈合时间差异无显著性意义.3组内固定后并发症比较差异无显著性意义(P ＞ 0.05),但是各有不同.结果表明3种内固定方式治疗肱骨干骨折均可取得满意疗效.在治疗应根据骨折的类型和损伤的程度合理选择固定方式.
- [1]何小健,安智全,谢孝兴,等.用可膨胀髓内钉固定治疗肱骨干骨折的疗效分析[J].2009,(17).
- [2]尹飚,杨波,李健,等.交锁髓内钉顺行和逆行置入治疗肱骨干骨折：18例优劣比较[J].2010,(26).
- [3]苏琰,张长青,蔡培华,等.可膨胀髓内钉置入内固定治疗肱骨干骨折33例[J].2010,(52).
- [4]沈啟捷,杨明富,吴英华.带锁髓内钉治疗肱骨干骨折疗效分析[J].2008,(9).
- [5]李丽艳,韩婉鹏.锁定钢板与普通钢板对肱骨干骨折疗效比较及探讨[J].2011,(12).
- [6]田耘,周方,姬洪全,等.微创锁定接骨板技术治疗复杂肱骨干骨折[J].2011,(1).
- [7]H, Ellman,G, Hanker,M, Bayer.Repair of the rotator cuff. End-result study of factors influencing reconstruction.[J].1986,68(8).
- [8]Bingfang Z,Yeming W,Peiyan H,etc.Minimally invasive plating osteosynthesis (MIPO) of middle and distal third humeral shaft fractures.[J].2007,21(9).
- [9]Bruce D Browner.创伤骨科学[M].1900.
- [10]Papadopoulos AX,Lambiris E,Dimakopoulos P,etc.Modified extra rotator-cuff entry point in antegrade humeral nailing.[J].2005,125(1).
- [11]主编王亦璁.骨与关节损伤[M].2007.
- [12]Md ST,Pandher DS,Park JY,etc.Antegrade humeral nailing through the rotator cuff interval: a new entry portal.[J].2008,22(6).
- [13]Maher SA,Borens O,Wright TM,etc.Biomechanical evaluation of an expandable nail for the fixation of midshaft fractures.[J].2007,63(1).
- [14]Blum J,Rommens PM,Karagul G,etc.Bending and torsional stiffness in cadaver humeri fixed with a self-locking expandable or interlocking nail system: a mechanical study.[J].2005,19(8).